A1 Connecticut Home Heating Oil
Oil Order Form

New customers need to fill out the new customer information form for their first order.
Current customers only need to fill out account number, name day/home phone, address, email address, delivery instructions, gallons order and delivery date.
Customer InformationRequired Fields (*)
Are you a current customer?* Yes      No
Customer No.:
Last Name:*
First Name:*
Street Address:*
City, State & Zip:*
Home Phone:*
Work Phone:
Cell Phone:
Email:
Tank InformationRequired Fields (*)
House Color:*
House Type:* Single Family      Multi Family
*** If Multi Family please mark fill pipe ***
Tank Size:*
Can your tank be filled from the road?* Yes      No
Tank Location: (Facing your house from street)*
Gallons Ordered:*
Delivery Date:*
Delivery Instructions:*

Delivery Policy - PLEASE READ BEFORE SUBMITTING ORDER:

All deliveries will be made within 24 hours from time of confirmation. Orders received on Friday will be scheduled for Monday delivery.

Confirmation of orders will be followed up by phone on the next business day. It is very important that you leave us a phone number to contact you to confirm your order

COD payment arrangements will be confirmed by phone. We accept all four major credit cards Visa, Master Card, Discover and American Express, checks can also be left at your home for our drivers to pick up on the delivery. A receipt will be left at your home when the delivery is made.



 

Copyright © 2005-2017 A1 Oil. All Rights Reserved. Call Us @ (860) 627-9474